Circumcision, using clamp or other device; newborn

CPT 54150 is the billing code for "Circumcision, using clamp or other device; newborn". Circumcision using clamp or device in newborn

Medicare pays approximately $143.94 for CPT 54150 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 54150 has a total RVU of 4.16, broken down as: Work RVU 2.00, Practice Expense RVU 2.00, and Malpractice RVU 0.16. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 54150 include: Age documented (newborn); Method of circumcision documented; Device used documented; Patient response to procedure. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 54150: Newborn only. Clamp or device method Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 54150 include: 59 (Distinct procedural service when multiple procedures performed), 50 (Bilateral procedure). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 54150 is Typically 10-15 minutes. Time-based codes require documentation of the actual time spent providing the service.